Organization Active NPI

Co-Lu Inc

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1356356018
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CO-LU INC
Doing business as
Progressive Health Associates
Practice address
11523 Kanis Rd
Suite D
Little Rock, AR 72211-3724
Phone
(501) 221-4357
Fax
(501) 221-4379
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vance Lee Cornelison, D.C.NPI 1538119227
Title
Doctor of Chiropractic
Phone
(501) 221-4357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11523 Kanis Rd
Suite D
Little Rock, AR 72211-3724

Mailing address

PO Box 242161
Little Rock, AR 72223-0021
Phone (501) 221-4357

Other names 1

  • Progressive Health Associates Doing business as

National Provider Directory

National Provider Directory

Locations

215 N Bowman Rd
Little Rock, AR 72211
Phone (501) 221-3666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1356356018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242161",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230021",
            "telephone_number": "501-221-4357",
            "fax_number": "501-221-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11523 KANIS RD",
            "address_2": "SUITE D",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113724",
            "telephone_number": "501-221-4357",
            "fax_number": "501-221-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CO-LU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "CORNELISON",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "501-221-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.